The details of a care service request, including name, modifiers,
and the effective date. One or more care service requests can be associated with a care
request.
Root XML tag
<careRequestItem>
JSON example
{
"name": "95810",
"codeType": "CPT",
"sourceSystem": "source_system_name",
"codeDescription": "Dysuria",
"sourceSystemIdentifier": "0015cmi",
"quantity": "15"
}
Properties
| Name | Type | Description | Required | Available Version |
|---|---|---|---|---|
| approvedLengthOfStay | Integer | The number of days requested for the admission. Maps to: CareRequestItem.ApprovedLengthOfStay | No | 52.0 |
| approvedLevelOfCare | Integer | Specifies the approved level of care for the patient. Maps to: CareRequestItem.ApprovedLevelOfCare | No | 52.0 |
| approvedQuantity | Integer | The approved quantity of the care item. Maps to: CareRequestItem.ApprovedQuantity | No | 46.0 |
| approvedServiceEndDate | String | The end date of the approved service that the patient received. Maps to: CareRequestItem.ApprovedServiceEndDate | No | 52.0 |
| approvedServiceStartDate | String | The start date of the approved service that the patient received. Maps to: CareRequestItem.ApprovedServiceStartDate | No | 52.0 |
| AssertionIdentifier | String | The unique identifier of the coverage assertion. This is unavailable for PATCH requests. | No | 63.0 |
| authApprovalIdentifier | String | The unique identifier assigned to the item on approval of the prior authorization request. Maps to: CareRequestItem.AuthApprovalIdentifier | No | 57.0 |
| authorizationRefIdentifier | String | The unique identifier of the prior authorization request associated with this requested item. Maps to: CareRequestItem.AuthorizationRefIdentifier | No | 57.0 |
| careRequestReviewers | Care Request Reviewer Input | The care request item associated with the care request reviewer. Maps to: CareRequestItem.CareRequestReviewers | No | 52.0 |
| clinicalDetermination | String | The clinical determination of the care request. Maps to: CareRequestItem.ClinicalDetermintation | No | 52.0 |
| clinicalDeterminationNotes | String | The notes related to the clinical determination. Maps to: CareRequestItem.ClinicalDetermintationNotes | No | 52.0 |
| clinicalDeterminationReason | String | The reason for the clinical determination. Maps to: CareRequestItem.ClinicalDetermintationReason | No | 52.0 |
| clinicalServiceRequestId | String | The clinical service request associated with the care request item. Maps to: CareRequestItem.ClinicalServiceRequest | No | 57.0 |
| code | String | ID of the service code. Maps to: CareRequestItem.Name | No | 46.0 |
| codeDescription | String | Description of the denied service code. Maps to: CareRequestItem.CodeDescription | No | 46.0 |
| codeType | String | Code type for the service. Maps to: CareRequestItem.CodeType | No | 46.0 |
| codeTypeId | String | ID of the code type for the service. Maps to: CareRequestItem.CodeTypeIdentifier | No | 46.0 |
| cumulativeLengthOfStay | Integer | The number of days a patient is admitted. Maps to: CareRequestItem.CumulativeLengthOfStay | No | 52.0 |
| currentLevelOfCare | String | Specifies the level of care the patient is receiving. Maps to: CareRequestItem.CurrentLevelOfCare | No | 52.0 |
| decisionDate | String | The date and time when the last decision was made for this care request item. Maps to: CareRequestItem.DecisionDate | No | 52.0 |
| deniedLevelOfCare | String | The level of care denied for the patient. Maps to: CareRequestItem.DeniedLevelOfCare | No | 52.0 |
| deniedQuantity | Integer | The quantity of the denied service. Maps to: CareRequestItem.DeniedQuantity | No | 46.0 |
| effectiveDate | String | Effective date for the diagnosis Maps to: CareRequestItem.EffectiveDate | No | 46.0 |
| endDate | String | Termination date for the service. Maps to: CareRequestItem.EndDate | No | 46.0 |
| freeFormProcedureDescription | String | Free-form description of the procedure. Maps to: CareRequestItem.FreeFormProcedureDescription | No | 46.0 |
| healthcareProcedureCode | String | Healthcare Procedure Code. | No | 46.0 |
| id | String | ID of the CareRequestItem. | Required for PATCH. | 46.0 |
| modifiedCareEndDate | String | Modified Care End Date | No | 46.0 |
| modifiedCode | String | Modified Code | No | 46.0 |
| modifiedCodeDescription | String | Description of the modified service code. Maps to: CareRequestItem.ModifiedCodeDescription | No | 46.0 |
| modifiedCodeType | String | Code type for the modified service. Maps to: CareRequestItem.ModifiedCodeType | No | 46.0 |
| modifiedCodeTypeId | String | ID of the code type for the modified service. Maps to: CareRequestItem.ModifiedCodeTypeIdentifier | No | 46.0 |
| modifiedEffectiveDate | String | Effective date for the modified service. Maps to: CareRequestItem.ModifiedEffectiveDate | No | 46.0 |
| modifiedLevelOfCare | String | Specifies the modified level of care for the patient. Maps to: CareRequestItem.ModifiedLevelOfCare | No | 52.0 |
| modifiedModifier | String | Modifier for modified service code. Maps to: CareRequestItem.ModifiedModifier | No | 46.0 |
| modifiedModifierDescription | String | Modifier description for modified service code. Maps to: CareRequestItem.ModifiedModifierDescription | No | 46.0 |
| modifiedProcedureCodeSet | String | The code set for the modified service, drug, or device associated with the care request item. Maps to: CareRequestItem.ModifiedProcedureCodeSet | No | 52.0 |
| modifiedQuantity | Integer | The modified quantity of requested care. Maps to: CareRequestItem.ModifiedQuantity | No | 46.0 |
| modifier1 | String | First modifier for the service code. Maps to: CareRequestItem.Modifier | No | 46.0 |
| modifier1Description | String | Description for the first modifier for the service code. Maps to: CareRequestItem.ModifierDescription | No | 46.0 |
| modifier2 | String | Second modifier for service code. Maps to: CareRequestItem.Modifier2 | No | 46.0 |
| modifier2Description | String | Description of the second modifier for the service code. Maps to: CareRequestItem.Modifier2Description | No | 46.0 |
| modifier3 | String | Third modifier for service code. Maps to: CareRequestItem.Modifier3 | No | 46.0 |
| modifier3Description | String | Description of the third modifier for the service code. Maps to: CareRequestItem.Modifier3Description | No | 46.0 |
| modifier4 | String | Fourth modifier for service code. Maps to: CareRequestItem.Modifier4 | No | 46.0 |
| modifier4Description | String | Description of the fourth modifier for the service code. Maps to: CareRequestItem.Modifier4Description | No | 46.0 |
| modifierCodeSet | String | The modifier code set for the service code associated with the care request item. Maps to CareRequestItem.ModifierCodeSet | No | 52.0 |
| name | String | Name of the care request item. Maps to CareRequestItem.Name | No | 46.0 |
| priority | String | The priority representing the urgency of the item's authorization request. Maps to CareRequestItem.Priority | No | 57.0 |
| procedureCodeSet | String | The code set for the service, drug, or device associated with the care request item. Maps to CareRequestItem.ProcedureCodeSet | No | 52.0 |
| quantity | Integer | The quantity of the item that is requested. Maps to: CareRequestItem.Quantity | No | 46.0 |
| quantityType | String | Quantity type for the request such as days, units, or visits. Maps to: CareRequestItem.QualityType | No | 46.0 |
| reasonCode | String | The reason justifying the care request of the item. Maps to: CareRequestItem.ReasonCode | No | 57.0 |
| requestType | String | The type of item request. Maps to: CareRequestItem.RequestType | No | 57.0 |
| requestedLengthOfStay | Integer | The number of days requested for the admission. Maps to: CareRequestItem.RequestedLengthOfStay | No | 52.0 |
| requestedLevelOfCare | String | Specifies the requested level of care for the patient. Maps to: CareRequestItem.RequestedLevelOfCare | No | 52.0 |
| requestedServiceEndDate | String | The end date of the requested service. Maps to: CareRequestItem.RequestedServiceEndDate | No | 52.0 |
| requestedServiceStartDate | String | The start date of the requested service. Maps to: CareRequestItem.RequestedServiceStartDate | No | 52.0 |
| responseDateTime | String | The date and time when the response was sent for the drug request. | No | 63.0 |
| serviceCategory | String | Name of the service type such as medical care, diagnostic radiology, pharmacy, or diagnostic laboratory. Maps to: CareRequestItem.ServiceCategory | No | 46.0 |
| serviceCategoryCode | String | Alphanumeric code that uniquely identifies a service type. Maps to: CareRequestItem.ServiceCategoryCode | No | 46.0 |
| servicingFacility | Servicing Facility Input | The facility where a patient receives service of the requested item. Maps to: CareRequestItem.ServicingFacility | No | 57.0 |
| servicingProvider | Servicing Practitioner Input | The healthcare provider who provides the service of the requested item. Maps to: CareRequestItem.ServicingProvider | No | 57.0 |
| sourceSystem | String | System from which the request was sourced. Maps to: CareRequestItem.SourceSystem | No | 46.0 |
| sourceSystemIdentifier | String | ID of the system from which the request was sourced. Maps to: CareRequestItem.SourceSystemIdentifier | No | 46.0 |
| sourceSystemModified | String | Timestamp of the most recent update from the source system. Maps to: CareRequestItem.SourceSystemModified | No | 46.0 |
| status | String | The authorization status of this service. Maps to: CareRequestItem.Status | No | 46.0 |
| statusReason | String | Reason for the authorization status of this service. Maps to: CareRequestItem.StatusReason | No | 46.0 |
| submittedDateTime | String | The date and time when the drug request was submitted. This is unavailable for PATCH requests. | Yes | 63.0 |
| transactionNumber | Integer | The transaction number assigned to the drug request. This is unavailable for PATCH requests. | No | 63.0 |